持续质量改进护理对慢性肾衰竭五期非血液透析患者血压达标率的影响
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叶顾睿
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泰兴市人民医院 肾内科，江苏泰州，225400
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摘要：目的 研究慢性肾衰竭五期非血液透析患者中实施持续质量改进护理的价值。方法 以我院收治的55 例慢性肾衰竭五期非血液透析病人为研究对象，时间为2023 年1 月-2024 年12 月，通过自身前后对照的方法，在实施持续质量改进护理前后，对比患者的血压达标率、血压控制情况、自我管理能力及生活质量。结果 实施后患者的血压达标率、自我管理能力、生活质量、血压控制率、心理弹性评分均高于实施前，差异具有统计学意义（P＜0.05）。结论 持续质量改进护理能显著提高慢性肾衰竭五期非血液透析患者的血压达标率，改善血压控制水平，提升自我管理能力、生活质量及心理弹性，值得推广。
关健词：持续质量改进护理；慢性肾衰竭；非血液透析
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Effect of continuous quality improvement nursingon blood pressure target rate of non-hemodialysis patientswith chronic renal failure stage V
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Gurui Ye
Department of Nephrology, Taixing People's Hospital, Taizhou, Jiangsu 225400, China
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Abstract： Objective To explore the value of implementing continuous quality improvement nursing in patients with stage 5chronic kidney failure without hemodialysis. Methods A total of 55 patients with stage 5 chronic kidney failure without hemodialysisadmitted to our hospital from January 2023 to December 2024 were selected as the research objects. Using a self-controlledbefore-and-after method, the blood pressure compliance rate, blood pressure control status, self-management abilityand quality of life of patients were compared before and after the implementation of continuous quality improvement nursing.Results After implementation, the patients’ blood pressure compliance rate, self-management ability, quality of life, blood pressurecontrol rate and psychological resilience score were all higher than those before implementation, and the differences werestatistically significant (P ＜ 0.05). Conclusion Continuous quality improvement nursing can significantly improve the bloodpressure compliance rate, blood pressure control level, self-management ability, quality of life and psychological resilience ofpatients with stage 5 chronic kidney failure without hemodialysis, which is worthy of promotion.
Keywords : Continuous quality improvement nursing; Chronic kidney failure; Non-hemodialysis
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